Organization
FAMILY AND ADOLESCENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE EUGENE WOODSON ED. D. (EXECUTIVE DIRECTOR)
(804) 521-4450
Entity
Organization
Contact information
Practice address
501 E FRANKLIN ST STE 414, RICHMOND, VA 23219-2330
(804) 521-4450
(804) 521-4071
Mailing address
501 E FRANKLIN ST STE 414, RICHMOND, VA 23219-2330
(804) 521-4450
(804) 521-4071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
942
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124225933
—
VA
05
—
1508199241
—
VA
05
—
1720392319
—
VA
Enumeration date
02/03/2012
Last updated
02/03/2012
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